Abstract | OBJECTIVE: METHODS: A retrospective review of 298 patients with trigeminal neuralgia between August 2007 and August 2016 was conducted. The patients were divided into two groups: the A group was treated by nerve combing (34 patients) and the B group received microvascular decompression (264 patients). Surgical outcomes and postoperative complications were compared between the two groups. RESULTS:
Pain was completely relieved in 88.2% of group A patients and 92.8% of group B after surgery. The median duration of follow-up was 60 months (range 10-115 months) in group A and 62 months (range 12-118 months) in group B. 72.7% and 86.4% of cases were completely relieved in groups A and B, respectively. There were no statistically significant differences in the surgical outcomes between the two groups. Almost all patients experienced some degree of numbness or hypesthesia (76.5%). The rate of facial numbness in group A was significantly higher than that in group B. CONCLUSION: This study demonstrated that nerve combing without neurovascular decompression is a safe and effective treatment for trigeminal neuralgia. However, a majority of patients treated with nerve combing experienced some degree of facial numbness.
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Authors | De-Bao Yang, Zhi-Min Wang |
Journal | Acta neurologica Belgica
(Acta Neurol Belg)
Vol. 119
Issue 3
Pg. 439-444
(Sep 2019)
ISSN: 2240-2993 [Electronic] Italy |
PMID | 30838601
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Adult
- Aged
- Female
- Follow-Up Studies
- Humans
- Hypesthesia
(etiology)
- Male
- Microvascular Decompression Surgery
(adverse effects, methods)
- Middle Aged
- Neurosurgical Procedures
(adverse effects, methods)
- Outcome Assessment, Health Care
- Postoperative Complications
(etiology)
- Retrospective Studies
- Trigeminal Neuralgia
(surgery)
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